521 Injury and Exposure (V12) Flashcards
When must a supervisor of an employee who has been injured in the line of duty report the incident by completing an electronic Workers’ Comp claim?
A. Time Frame
B. Reporting an Injury or Exposure to Communicable Diseases in the Line of Duty [CFA 29.02,
FCAC 8.01]
1. Supervisors of employees who are injured in the line of duty (including while supervising an
employee during secondary employment) are required within 24 hours of the incident to
complete an electronic Workers’ Compensation claim which can be found on 94Net via the
“IOD Reporting System” link.
If an IOD is reported and no medical treatment is required, will a supervisor still need to complete an IOD claim?
a. The report must be completed even if no medical treatment is required.
Supervisors of employees who have been exposed to a communicable disease in the line of duty must complete an electronic “_______________________________”. The report must be completed within _____ hours of the exposure incident, even if no medical treatment is required.
A. Form
B. Time Frame
Supervisors of employees who have been exposed to a communicable disease in the line of duty must complete an electronic “Exposure Incident Report Form” located on the Human Resources – Occupational Health site on 94Net. The report must be completed within 24 hours of the exposure incident, even if no medical treatment is required.
Supervisors of employees who test positive for COVID-19 shall complete what within 24 hours?
1.
2.
- Supervisors of employees who test positive for COVID-19 shall complete an electronic
Exposure Incident Report for the employee.
a. If the employee is a police or corrections officer, the supervisor shall also complete an electronic Injury on Duty (IOD) Report within 24 hours.
d. A positive COVID-19 test
In order to change SL to IOD status for police and correctional personnel, what must occur?
What other 2 thing must occur after a confirmation of COVID?
1.
2.
d. A positive COVID-19 test result administered by a medical professional is needed to change Sick Leave status to IOD status for police and correctional personnel, as well as civilians who have established a clear nexus.
g. Ensure the employee provides positive test results to the Occupational Health Manager.
h. Ensure the employee’s work area is disinfected (i.e., cleaned/wiped down) in a timely
manner.
If someone has experienced an IOD and the system is down, what two forms must be completed within 24 hours of the incident even if medical treatment is not required.
1.
2.
- If the online system is down, the reports must be obtained from the Human Resources –
Occupational Health site on 94Net, completed manually and delivered as follows:
a. Completed copies of Form P-1063 (Supervisor’s Investigation Report of Employee Injury or Illness) and Florida Department of Financial Services Division of Workers’ Compensation First Report of Injury or Illness must be provided to the COJ Workers’ Compensation Division within 24 hours of the incident, even if no medical treatment is
required. The reports must be faxed to COJ Workers’ Compensation at (904) 255-5347 or (904) 255-5339 within 24 hours of the incident. This is a dedicated fax line for the First Report of Injury Forms. The faxed copies of the forms do not have to be signed by the employees if the employee is unavailable, but must be signed by a supervisor;
The Supervisor’s Investigation Report of Employee Injury and First Report of Injury or Illness, will be delivered how and in what time?
Completed copies of
1. Form P-1063 (Supervisor’s Investigation Report of Employee Injury
or Illness)
2. Florida Department of Financial Services Division of Workers’ Compensation First Report of Injury or Illness
b. The original forms shall be hand carried within one working day to the JSO Medical Section designee, PMB Room 303. The originals shall be maintained in the employee’s medical file (Reference: Florida State Statute [F.S.S.] Chapter 440.35);
After being treated for a line of duty injury or exposure, what are you to provide and in what time frame to JSO Medical Section?
C. Treatment of Line of Duty Injuries or Exposures [CFA 29.01, 29.02, FCAC 8.01]
1. For an emergency medical condition requiring emergency services and care, as defined
under F.S.S. Chapter 395, employees may immediately seek treatment from the nearest
qualified facility or provider (including any emergency room). All discharge paperwork must
be provided to the JSO Medical Section designee via email (OccupationalHealthManager@jaxsheriff.org), sealed intra-office mail (Occupational Health
Manager), or via fax ([904] 630-4741) within 24 hours of receipt.
- Employees involved in exposure cases which involve needle puncture, lacerations, human
bites, blood exposure, etc., which require immediate treatment and which have occurred
after hours or on weekends, should seek treatment immediately at any emergency room.
Preventative treatment should start within _______________ hours of exposure in order to be
most effective in lessening the chances of the employee contracting a disease.
A. Time Frame
- Employees involved in exposure cases which involve needle puncture, lacerations, human
bites, blood exposure, etc., which require immediate treatment and which have occurred
after hours or on weekends, should seek treatment immediately at any emergency room.
Preventative treatment should start within three to four hours of exposure in order to be
most effective in lessening the chances of the employee contracting a disease.
How often does an employee need to see the Workers’ Comp doctor in order to keep their claim open?
b. Employees must see a Workers’ Compensation doctor annually in order to keep their
claim open.
Any request for overtime within these parameters must be approved by the ________________________ or the ______________________________ when seeking treatment for an IOD. Documentation supporting the overtime request (including times being treated) must be submitted to the JSO Medical Section designee (JSO Human Resources, Room 303 PMB).
A. Rank/Position
B. Rank/Position
c. Overtime requests are not authorized for medical appointments relating to Workers’
Compensation injuries outside of regularly scheduled hours unless the employee is receiving initial treatment that goes beyond end of shift, or the employee must be seen by a Workers’ Compensation treating physician the following day which falls on their regular day/time off. Any request for overtime within these parameters must be approved by the Director of Personnel & Professional Standards or the Chief of Human
Resources when seeking treatment for an IOD. Documentation supporting the overtime request (including times being treated) must be submitted to the JSO Medical Section designee (JSO Human Resources, Room 303 PMB).
c. Overtime requests are not authorized for medical appointments relating to Workers’
Compensation injuries outside of regularly scheduled hours
What should supervisors do to ensure employees receive treatment during working hours?
d. Supervisors should make every effort to adjust an employee’s work schedule so that the
employee can receive treatment during work hours.
E. Blood Tests (Employees) [CFA 29.01, 29.02]
1. Employees who become exposed to a communicable disease in the line of duty shall, upon response to treatment, be offered the option of having their blood collected for testing of the employee’s Human Immunodeficiency Virus (HIV)/Hepatitis B Virus (HBV) serological status. The blood sample shall be preserved for at least ________ days to allow the employee to decide if the blood should be tested for HIV serological status. However, if the employee decides prior to that time that testing shall be conducted, then the appropriate action can be taken and the blood sample discarded.
E. Blood Tests (Employees) [CFA 29.01, 29.02]
1. Employees who become exposed to a communicable disease in the line of duty shall, upon response to treatment, be offered the option of having their blood collected for testing of the employee’s Human Immunodeficiency Virus (HIV)/Hepatitis B Virus (HBV) serological status. The blood sample shall be preserved for at least 90 days to allow the employee to decide if the blood should be tested for HIV serological status. However, if the employee decides prior to that time that testing shall be conducted, then the appropriate action can be taken and the blood sample discarded.
c. Requests for temporary limited duty status are generally initiated by the _______________.
Under certain conditions and at the discretion of the affected ______________ or their designee,
employees can be placed on temporary limited duty.
A. Rank
B. Rank
c. Requests for temporary limited duty status are generally initiated by the JSO employee.
Under certain conditions and at the discretion of the affected director or their designee,
employees can be placed on temporary limited duty.
(1) The electronic Form SP-1217 (Request for Temporary Medical Limited Duty) is
electronically routed through the ____________________ to the following staff members who shall approve and recommend assignment:
(a) Employee’s ______________;
(b) __________________ – for police only; and
(c) Employee’s __________.
____________________________________________________
A. Rank/Position
B. Rank
C. Rank/Position
D. Rank
(1) The electronic Form SP-1217 (Request for Temporary Medical Limited Duty) is
electronically routed through the chain of command to the following staff members
who shall approve and recommend assignment:
(a) Employee’s assistant chief;
(b) Chief of Patrol Support – for police only; and
(c) Employee’s chief.
Who makes the final determination of approval and assignment when someone is requesting or on temporary limited duty?
A. Rank
(2) The employee’s director makes the final determination of approval and assignment.
The electronic Form SP-1217 (Request for Temporary Medical Limited Duty) will
then be electronically routed to the JSO Medical Section designee.
Temporary Limited Duty
(3) With the approval of their _________________ or _______________, the employee may temporarily
work in a limited capacity within their respective assignment until their ________________ makes an official limited duty assignment.
A. Rank
B. Rank
C. Rank
Temporary Limited Duty
(3) With the approval of their assistant chief or chief, the employee may temporarily
work in a limited capacity within their respective assignment until their director makes an official limited duty assignment.
(4) If an employee is placed on temporary limited duty on a Friday evening or on the weekend, an electronic Form SP-1217 (Request for Temporary Medical Limited Duty) must be completed by the employee and routed through their _____________________ as indicated in this order. Patrol personnel must have their _________________ contact the ______________________________ in order to facilitate the employee’s transfer to the Tele-Serv Unit for a light duty assignment until the _________________________________ can make a final determination.
A. Rank
B. Rank/Position
C. Rank/Position
D. Rank/Position
(4) If an employee is placed on temporary limited duty on a Friday evening or on the weekend, an electronic Form SP-1217 (Request for Temporary Medical Limited Duty) must be completed by the employee and routed through their chain of command as indicated in this order. Patrol personnel must have their commanding officer contact the Commanding Officer of Tele-Serv Unit in order to facilitate the employee’s transfer to the Tele-Serv Unit for a light duty assignment until the
Director of Patrol & Enforcement can make a final determination. The employee may instead elect to take their leave until the respective director makes an official limited duty assignment.
Employees on temporary limited duty who are authorized to carry a firearm and are physically and mentally capable may continue to do so as long as what?
1.
2.
(6) Employees on temporary limited duty who are authorized to carry a firearm and are physically and mentally capable may continue to do so as long as the firearm is concealed and they are current with their firearm certification.
An employee on temporary limited duty shall not be assigned a take-home vehicle and shall only be allowed to drive a JSO vehicle during work hours after receiving approval from __________________.
Additionally, who’s responsibility is it to take possession of the temporary limited duty officer’s vehicle?
A. Rank
(7) An employee on temporary limited duty shall not be assigned a take-home vehicle and shall only be allowed to drive a JSO vehicle during work hours after receiving approval from a chief or higher authority. It is the responsibility of the employee’s unit commanding officer to take possession of the officer’s assigned vehicle.
(10)The applicable ____________, in conjunction with the _______________________, shall review the employee’s medical, physical, or psychological restrictions and identify if a temporary assignment is suitable for the employee.
A. Rank
B. Unit
(10)The applicable director, in conjunction with the JSO Medical Section designee, shall review the employee’s medical, physical, or psychological restrictions and identify if a temporary assignment is suitable for the employee.
Temporary Limited Duty
(11)Prior to the employee’s assignment, the ____________________________ shall be notified by the JSO Medical Section designee of the employee’s work restrictions. This information is confidential and cannot be furnished to other members of JSO.
A. Rank/Position
Temporary Limited Duty
(11)Prior to the employee’s assignment, the assigned section commanding officer shall
be notified by the JSO Medical Section designee of the employee’s work restrictions.
This information is confidential and cannot be furnished to other members of JSO.
Temporary Limited Duty
Who will reach out limited duty officer after placement has been made?
Temporary Limited Duty
(12)After review of the employee’s work assignment and restrictions, and after it is
determined the employee can perform the functions of the temporary assignment,
the employee shall be temporarily transferred to that unit’s roll call. The assigned
unit commanding officer shall notify the employee of their limited duty assignment
and shift.
(13)Any requested change from the temporary limited duty assignment must be approved, in writing, by the applicable _______________. It shall be the responsibility of the JSO Medical Section designee to contact the appropriate supervisor and provide information regarding the required work restrictions.
A. Rank
(13)Any requested change from the temporary limited duty assignment must be approved, in writing, by the applicable director. It shall be the responsibility of the JSO Medical Section designee to contact the appropriate supervisor and provide
information regarding the required work restrictions.
